| NPI | 1942334065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORMOZE A GOUDARZI Chairman Of The Board 910-763-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-04-06 |